Active NPI
Timothy C Broadbent, PT
- Physical Therapist
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10835
- Practice address
- 961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832 - Phone
- (865) 483-1906
- Fax
- (865) 483-3807
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10835 | TN | Primary |
Addresses
Primary practice location
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062
Other practice location 1
9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Phone (865) 560-8550
Other practice location 2
6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235
Other practice location 3
988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388
Other practice location 4
1819 Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone (865) 633-0259
Other practice location 5
576 Fort Loudoun Medical Center Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q022499 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1819 Clinch Ave
Knoxville, TN 37916-2435
8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 65.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10835 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Physical Therapist | Past | Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients |
Locations
6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235
4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550
1819 Clinch Ave
Ste 106
Knoxville, TN 37916
Phone (865) 524-5365
9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725
9430 Park West Blvd
Ste 230
Knoxville, TN 37923
Phone (865) 560-8550
576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478
961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906
Interoperability endpoints
- timothyc.broadbent.p2@direct.toa.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1851446017
-
- Orthopaedic Surgery Physician
- Manchester, TN
- NPI 1164660213
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1073172979
-
- Orthopaedic Surgery Physician
- Smyrna, TN
- NPI 1205820610
-
- Physical Therapy Clinic/Center
- Oak Ridge, TN
- NPI 1780706853
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1881044667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "865-694-0062",
"fax_number": "865-694-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 OAK RIDGE TPKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378308832",
"telephone_number": "865-483-1906",
"fax_number": "865-483-3807"
}
],
"practiceLocations": [
{
"address_1": "9430 Park West Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379234204",
"country_code": "US",
"telephone_number": "865-560-8550",
"fax_number": "865-560-8551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6484 Kingston Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379194863",
"country_code": "US",
"telephone_number": "865-633-0235",
"fax_number": "865-602-7757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "988 Oak Ridge Tpke Ste 100A",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378306919",
"country_code": "US",
"telephone_number": "865-425-4388",
"fax_number": "865-425-4677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1819 Clinch Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162435",
"country_code": "US",
"telephone_number": "865-633-0259",
"fax_number": "865-524-5047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "576 Fort Loudoun Medical Center Dr Ste 100A",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "377725676",
"country_code": "US",
"telephone_number": "865-988-8796",
"fax_number": "865-988-8798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADBENT",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022499",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.